Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download False Hope PDF full book. Access full book title False Hope by Richard A. Rettig. Download full books in PDF and EPUB format.
Author: Richard A. Rettig Publisher: Oxford University Press ISBN: 9780199748242 Category : Medical Languages : en Pages : 368
Book Description
In the late 1980s, a promising new treatment for breast cancer emerged: high-dose chemotherapy with autologous bone marrow transplantation or HDC/ABMT. By the 1990s, it had burst upon the oncology scene and disseminated rapidly before having been carefully evaluated. By the time published studies showed that the procedure was ineffective, more than 30,000 women had received the treatment, shortening their lives and adding to their suffering. This book tells of the rise and demise of HDC/ABMT for metastatic and early stage breast cancer, and fully explores the story's implications, which go well beyond the immediate procedure, and beyond breast cancer, to how we in the United States evaluate other medical procedures, especially life-saving ones. It details how the factors that drove clinical use--patient demand, physician enthusiasm, media reporting, litigation, economic exploitation, and legislative and administrative mandates--converged to propel the procedure forward despite a lack of proven clinical effectiveness. It also analyzes the limited effect of technology assessments before randomized clinical trials evaluated decisively the procedure and the ramifications of this system on healthcare today. Sections of the book consider the initial conditions surrounding the emergence of the new breast cancer treatment, the drivers of clinical use, and the struggle for evidence-based medicine. A concluding section considers the significance of the story for our healthcare system.
Author: Richard A. Rettig Publisher: Oxford University Press ISBN: 9780199748242 Category : Medical Languages : en Pages : 368
Book Description
In the late 1980s, a promising new treatment for breast cancer emerged: high-dose chemotherapy with autologous bone marrow transplantation or HDC/ABMT. By the 1990s, it had burst upon the oncology scene and disseminated rapidly before having been carefully evaluated. By the time published studies showed that the procedure was ineffective, more than 30,000 women had received the treatment, shortening their lives and adding to their suffering. This book tells of the rise and demise of HDC/ABMT for metastatic and early stage breast cancer, and fully explores the story's implications, which go well beyond the immediate procedure, and beyond breast cancer, to how we in the United States evaluate other medical procedures, especially life-saving ones. It details how the factors that drove clinical use--patient demand, physician enthusiasm, media reporting, litigation, economic exploitation, and legislative and administrative mandates--converged to propel the procedure forward despite a lack of proven clinical effectiveness. It also analyzes the limited effect of technology assessments before randomized clinical trials evaluated decisively the procedure and the ramifications of this system on healthcare today. Sections of the book consider the initial conditions surrounding the emergence of the new breast cancer treatment, the drivers of clinical use, and the struggle for evidence-based medicine. A concluding section considers the significance of the story for our healthcare system.
Author: Robbie F. Castleman Publisher: InterVarsity Press ISBN: 9780830819584 Category : Religion Languages : en Pages : 184
Book Description
Robbie Castleman believes reclaiming purity in relationships is a journey toward holiness. In sprightly, straight-for-the-target prose, she shows how unmarried Christians can wait until marriage without turning into prudes or wallflowers.
Author: Jerome Groopman Publisher: Random House Trade Paperbacks ISBN: 0375757759 Category : Health & Fitness Languages : en Pages : 274
Book Description
Why do some people find and sustain hope during difficult circumstances, while others do not? What can we learn from those who do, and how is their example applicable to our own lives? The Anatomy of Hope is a journey of inspiring discovery, spanning some thirty years of Dr. Jerome Groopman’s practice, during which he encountered many extraordinary people and sought to answer these questions. This profound exploration begins when Groopman was a medical student, ignorant of the vital role of hope in patients’ lives–and it culminates in his remarkable quest to delineate a biology of hope. With appreciation for the human elements and the science, Groopman explains how to distinguish true hope from false hope–and how to gain an honest understanding of the reach and limits of this essential emotion.
Author: Daniel Callahan Publisher: Simon and Schuster ISBN: 1439136416 Category : Medical Languages : en Pages : 336
Book Description
This ground-breaking book by one of the nation's leading experts on medical ethics, Daniel Callahan, traces the root cause of America's health-care crisis not to inefficient organization or waste, but rather to society's and the medical community's relentless quest for perfection.
Author: Trevin Wax Publisher: Moody Publishers ISBN: 080247781X Category : Religion Languages : en Pages : 240
Book Description
What if the biggest danger to the church of Jesus Christ is not blatant heresy, the moral failures of church leaders, persecution, the rise of Islam or the loss of our rights? What if the biggest threat is counterfeit gospels within the church, ways of thinking and speaking about the good news that lead to a gradual drift from the truth of Scripture? The gospel is like a three-legged stool. There’s the Gospel Story – the grand narrative of Scripture (Creation, Fall, Redemption, Restoration). Within that overarching framework, we make the Gospel Announcement about Jesus Christ (His perfect life, substitutionary death, resurrection, exaltation). The gospel announcement then births the Gospel Community: God’s church – the embodiment of the gospel, the manifestation of God’s kingdom. A counterfeit gospel is like a colony of termites, eating away at one of the legs of this stool until the whole thing topples over. This book exposes six common counterfeits (Therapeutic, Judgmentless, Moralist, Quietist, Activist, and Churchless) that would get us off track. The goal of Counterfeit Gospels is to so deepen our love for the unchanging gospel of Jesus Christ that we would easily see through the many counterfeits that leave us impoverished. So come, love the gospel, recognize and overcome the counterfeits, and be empowered for ministry!
Author: Roger Scruton Publisher: Oxford University Press ISBN: 9780199798995 Category : Philosophy Languages : en Pages : 240
Book Description
Ranging widely over human history and culture, from ancient Greece to the current global economic downturn, Scruton makes a counterintuitive yet persuasive case that optimists and idealists -- with their ignorance about the truths of human nature and human society, and their naive hopes about what can be changed -- have wrought havoc for centuries. Scruton's argument is nuanced, however, and his preference for pessimism is not a dark view of human nature; rather his is a 'hopeful pessimism' which urges that instead of utopian efforts to reform human society or human nature, we focus on the only reform that we can truly master -- the improvement of ourselves through the cultivation of our better instincts. Written in Scruton's trademark style-- erudite, sweeping in scope across centuries and cultures, and unafraid to offend-- this book is sure to intrigue and provoke readers concerned with the state of Western culture, the nature of human beings, and the question of whether social progress is truly possible.
Author: Richard A. Deyo Publisher: AMACOM/American Management Association ISBN: 9780814428597 Category : Business & Economics Languages : en Pages : 364
Book Description
Annotation Medical science has always promised -- and often delivered -- a longer, better life. But as the pace of science accelerates, do our expectations become unreasonable, fueled by an industry bent on profits and a media desperate for big news?Hope or Hype is a taboo-shattering look at what drives the American obsession with medical "miracles," exposing the equipment manufacturers and pharmaceutical companies; doctors and hospitals too quick to order surgery; the politicians; the press; and our own "technoconsumption" mindset. The authors spread blame for the parade of so-called miracle cures that too often are marginally effective at best -- and sometimes downright dangerous. They examine consumers? eager embrace of medical advances, and present riveting stories of the conscientious doctors and researchers who blew the whistle on ineffective treatments. Finally, they provide sane, practical recommendations for the adoption of new developments. The consequences of questionable practices include costly recalls, billions in wasted money, and the pain and suffering of innumerable patients and their families. In short, they must stop.
Author: Richard A. Rettig
Author: Richard A. Rettig
Author: Laura Kightlinger
Author: Norman Solomon
Author: Dane Calloway
Author: Robbie F. Castleman
Author: Jerome Groopman
Author: Daniel Callahan
Author: Trevin Wax
Author: Roger Scruton
Author: Richard A. Deyo